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Individual

DR. HUAI LEE PHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
46 GREAT NECK RD, GREAT NECK, NY 11021-3305
(165) 253-2844
Mailing address
2225 E EVESHAM RD, SUITE 101, VOORHEES, NJ 08043-1557

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
289578-1
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/11/2012
Last updated
12/04/2018
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